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North Carolina rates for HCPCS 25107

Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.70 / $958.19 / $8,413.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,094.75 / $2,094.75 / $2,993.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $2,710.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.70 / $794.73 / $1,210.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,248.00 / $9,541.00 / $14,589.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,351.64 / $8,957.00 / $26,542.00